Provider Demographics
NPI:1831457670
Name:WHOLE BODYWORKS I LTD
Entity Type:Organization
Organization Name:WHOLE BODYWORKS I LTD
Other - Org Name:WHOLE BODYWORKS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:WILCOX
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:206-604-7049
Mailing Address - Street 1:7413 GREENWOOD AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-5043
Mailing Address - Country:US
Mailing Address - Phone:206-604-7049
Mailing Address - Fax:
Practice Address - Street 1:7413 GREENWOOD AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-5043
Practice Address - Country:US
Practice Address - Phone:206-604-7049
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-30
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT 00008132261QP2000X
WAPT 00008043261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy